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Related Experiment Video

Updated: Jun 30, 2026

FISH for Pre-implantation Genetic Diagnosis
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Post-mortem rapid aneuploidy testing for holoprosencephaly.

Lajos Gergely1, Vanda Repiská1, Daniel Böhmer1

  • 1Institute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University Bratislava, Bratislava, Slovakia.

Birth Defects Research
|April 18, 2024
PubMed
Summary

Quantitative fluorescence polymerase chain reaction (QF-PCR) offers a superior and efficient method for post-mortem genetic evaluation of holoprosencephaly cases compared to conventional karyotyping.

Keywords:
DNA analysisQF‐PCRabortionaneuploidyholoprosencephalyintrauterine fetal demise

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Area of Science:

  • Medical Genetics
  • Developmental Biology
  • Reproductive Medicine

Background:

  • Holoprosencephaly frequently leads to fetal death, necessitating post-mortem genetic analysis.
  • Conventional karyotyping of fibroblasts has limited success due to culture failures in these cases.
  • Archived frozen samples offer an alternative for genetic evaluation.

Purpose of the Study:

  • To reevaluate archived holoprosencephaly cases using quantitative fluorescence polymerase chain reaction (QF-PCR).
  • To assess the efficiency and diagnostic yield of QF-PCR for post-mortem genetic analysis.
  • To compare QF-PCR with conventional karyotyping in this setting.

Main Methods:

  • DNA was isolated from archived frozen chorionic villi in seven holoprosencephaly cases.
  • Quantitative fluorescence polymerase chain reaction (QF-PCR) was used to test for aneuploidies of chromosomes 13, 15, 16, 18, 21, 22, X, and Y.
  • Results were compared with conventional karyotyping outcomes.

Main Results:

  • QF-PCR was successful in all seven cases (100% success rate).
  • A diagnostic yield of 71% was achieved, identifying trisomy 13 (2 cases), triploidy (2 cases), and trisomy 18 (1 case).
  • QF-PCR demonstrated a significantly higher success rate (100%) compared to conventional karyotyping (43%).

Conclusions:

  • Rapid aneuploidy testing via QF-PCR is a simple and reliable method for post-mortem genetic investigations.
  • QF-PCR is time- and cost-effective, providing sufficient diagnostic information in most holoprosencephaly cases.
  • This technique overcomes the limitations of conventional karyotyping in challenging post-mortem samples.